FDA Adverse Event
Injury
Summary report: N
RED CROSS TESTING CHAGAS DISEASE TEST
MDR report key: 5840021
·
Received July 25, 2016
Report
- Report Number
- MW5063780
- Event Type
- Injury
- Date Received
- July 25, 2016
- Date of Event
- July 25, 2016
- Report Date
- July 25, 2016
- Manufacturer
- UNK
- Product Code
- OHQ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AZ, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
WENT TO DONATE BLOOD W/(B)(6). TOLD I WAS DEFERRED UNTIL 2289 FORCHAGUS DISEASE. FOUND THAT I HAD A FALSE POSITIVE AND COULD NEVER DONATE AGAIN WITH NO APPEAL PROCESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 474233 | RED CROSS TESTING CHAGAS DISEASE TEST | RED CROSS TESTING CHAGAS DISEASE TEST | OHQ | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Required Intervention |